Chronic persistent Lyme disease is a late stage of an inflammatory disease caused by the bacterium Borrelia burgdorferi, which is transmitted by the bite of a deer tick.
Causes, incidence, and risk factors
- joint inflammation in the knees and other large joints
- memory loss
- mood changes
- sleep disorders
Additional symptoms that may be associated with this disease:
- numbness and tingling
- consciousness, decreased
- abnormal sensitivity to light
Signs and tests
- An ELISA shows antibodies to Borrelia burgdorferi. A Western blot test is done to confirm ELISA results.
- A spinal tap will be abnormal if central nervous signs are present.
The objective of treatment is to eliminate the infection by antibiotic therapy. A high dose of penicillin or ceftriaxone is usually required in the late stages of the disease to treat the infection.
Symptoms of arthritis may fail to resolve with treatment. Other symptoms should improve with treatment.
- continued arthritis
Calling your health care provider
Call your health care provider if symptoms develop - particularly if you have had Lyme disease before, or live or travel in high-risk areas.
by Martin A. Harms, M.D.